Stomach Neoplasms Clinical Trial
Official title:
Clinical Efficacy of Robotic Total Gastrectomy With D2 Lymph Node Dissection for Locally Advanced Proximal Gastric Cancer:A Prospective Trial
The purpose of this study is to explore the clinical Efficacy of robotic assisted spleen-preserving No. 10 lymph node dissection for patients with locally advanced upper third gastric adenocarcinoma(cT2-4a, N-/+, M0).
The incidence of No. 10 lymph node metastasis is high in advanced proximal gastric cancer,
reported to range from 9.8%-20.9%, and the presence of No. 10 lymph node metastasis is
closely related to survival. Therefore, in East Asia, D2 lymph node dissection of potentially
curable locally advanced upper third gastric cancer including No. 10 lymph node is the
standard surgical treatment.
Robotic surgery has been developed with the aim of improving surgical quality and overcoming
the limitations of conventional laparoscopy in the performance of complex mini-invasive
procedures. However, it remains a controversial international issue if it is safe and
feasible to conduct robotic assisted spleen-preserving No. 10 lymph node dissection for
advanced upper third gastric cancer. There is no prospective study to identify the results.
The study is through a prospective, open, single-arm study,to explore the clinical outcomes
of the robotic assisted spleen-preserving No. 10 lymph node dissection in the treatment of
locally advanced gastric adenocarcinoma (cT2-4a, N-/+, M0).
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